Nokea
Which of the following is the best way to increase the number of persons who come to their screening test appointments?
- A. Reminding clients via telephone, e-mail, or mail
- B. Emphasizing long life and happy family when conditions are caught early and treated successfully
- C. Pointing out how inexpensive and convenient screening tests are
- D. Stressing the dangerousness of the condition if not caught early
Correct Answer: A
Rationale: The correct answer is A: Reminding clients via telephone, e-mail, or mail. This is the best way to increase attendance as it utilizes multiple communication channels to ensure clients are aware of their appointments. Reminders help reduce no-show rates by keeping the appointment fresh in their minds. Option B focuses on the benefits of early detection but does not address the issue of attendance directly. Option C emphasizes cost and convenience, but these factors may not be the primary motivators for attending appointments. Option D uses fear tactics, which may not be effective for all individuals and could lead to avoidance. Overall, option A is the most practical and effective method to increase attendance at screening test appointments.
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A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
- A. Palpate the distal pulse to the cast
- B. Engage employers to have wellness centers at each industrial site
- C. Ensure timely and effective medical intervention and treatment for community members
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A: Palpate the distal pulse to the cast. This is the first action the nurse should take as it assesses the circulation to the extremity. Checking the distal pulse ensures that there is no compromise to blood flow post-casting, which is crucial in preventing complications like compartment syndrome. Engaging employers (B), ensuring community medical interventions (C), and donating clothes (D) are unrelated and not urgent in this scenario. It is important to prioritize patient safety and monitor for any potential complications following cast application.
Why has there been an increase in the number of acute and chronically ill people residingin the community who need professional nursing care?
- A. Shorter length of stay in long-term care facilities
- B. Increase in ambulatory surgery
- C. Decrease in the use of outpatient clinics
- D. Increase in length of stay in emergency departments
Correct Answer: A
Rationale: Correct Answer: A - Shorter length of stay in long-term care facilities
Rationale: Shorter stays in long-term care facilities mean patients are discharged sooner, leading to more individuals with acute and chronic illnesses needing nursing care in the community. This trend results in an increased demand for professional nursing care outside of traditional care settings.
Summary:
Choice B (Increase in ambulatory surgery) does not directly relate to the increase in the number of ill people residing in the community, as ambulatory surgery focuses on outpatient procedures.
Choice C (Decrease in the use of outpatient clinics) would actually lead to fewer individuals seeking care in the community, thus not explaining the increase in nursing care needs.
Choice D (Increase in length of stay in emergency departments) is unlikely to result in more individuals needing professional nursing care in the community, as emergency departments typically deal with acute issues that are either resolved or require hospitalization.
Why is there an increasing use of home monitoring devices? (Select all that apply.)
- A. Rising number of people with acute conditions
- B. Increased need to deliver healthcare to medically underserved populations
- C. Advances in technology to assess clients' conditions in their home
- D. Performing assessments in real time using Internet video systems
Correct Answer: A
Rationale: The correct answer is A because the rising number of people with acute conditions necessitates continuous monitoring, which can be efficiently achieved through home monitoring devices. This enables healthcare providers to closely track and manage patients' health remotely. Choice B is incorrect as the increased need to deliver healthcare to medically underserved populations may lead to other solutions, not necessarily home monitoring devices. Choice C is incorrect because advancements in technology benefit various aspects of healthcare, not just home monitoring devices. Choice D is incorrect as real-time assessments using Internet video systems are just one of the many methods for monitoring patients, not exclusive to home monitoring devices.
Which was a duty performed by district nurses in Liverpool, England, in 1865?
- A. Use epidemiologic knowledge and methods
- B. Encourage community organization
- C. Report facts to and ask questions of physicians
- D. Assist physicians with surgery in the newly constructed hospitals
- F. Identifying potential negative outcomes due to exposure to the toxic chemicals
Correct Answer: C
Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because: A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time. B) Encouraging community organization was not a primary duty of district nurses. D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.
A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
- A. Determine the client's current anxiety level
- B. Evaluating the number of clients presenting with similar diseases
- C. Giving a very informative and engaging presentation
- D. Weighing students to identify those who are overweight
Correct Answer: A
Rationale: The correct answer is A: Determine the client's current anxiety level. This is the first action the nurse should take as it helps assess the immediate emotional well-being of the client. By understanding the client's anxiety level, the nurse can provide appropriate support and interventions to address any distress or trauma experienced. Evaluating the number of clients with similar diseases (B), giving a presentation (C), and weighing students (D) are not relevant or appropriate actions in this situation. The priority is to address the client's emotional needs and ensure their safety and well-being.